Chunilal Shah MD Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A33116 Issued in CA

Legal business name

CHUNILAL SHAH MD INC

Doing business as

Chunilal Shah MD

Practice address

15651 Imperial Hwy Ste 104
La Mirada, CA 90638-1600

Phone

(562) 947-1619

Fax

(562) 947-5969

NPI assigned

Apr 29, 2010

Organization subpart

Yes

Parent organization

CHUNILAL SHAH MD INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chunilal Shah, M.D.

Title

Physician

Phone

(562) 947-1619

Specialties & licenses 1

Addresses

Other names 1

• CHUNILAL SHAH MD Doing business as

Part of

Chunilal Shah MD Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1699092692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 104",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15651 IMPERIAL HWY STE 104",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381600",
            "telephone_number": "562-947-1619",
            "fax_number": "562-947-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNILAL SHAH MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHUNILAL SHAH MD INC",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "CHUNILAL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "562-947-1619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A33116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHUNILAL SHAH MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.